dentist

Doctors are feeling pain from prolonged mask use

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An interesting article titled “Is Prolonged Mask Wearing Associated With Orofacial Pain?” appears in the Journal of Oral and Maxillofacial Surgery written by Vicky Yau, Hong-Yu Liang, and Chenyu Sun (vol. 80, pp. 1875-1877, 2022). The article discuses how with the prolonged use of face masks and surgical respirators, issues of mask associated orofacial pain are now happening for oral and maxillofacial surgeons. This is a new issue due to the use of surgical N95 respirators (also called medical respirators) used by healthcare providers for protection from airborne and fluid transmission and protection from COVID-19. The article discusses how healthcare workers have reported masks-associatedorofacial pain, in the areas of temporalis, zygomaticus, nasalis, and auricularis muscle with the use of N95 masks. N95 masks have a tight facial fit, and provide enhanced filtration against 95% or more of 0.3-mm particles. Orofacial … Read more

Dentists Report Half of Their Patients Show up High

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An interesting study from the American Dental Association (ADA) suggests patients show up to dental visits high on marijuana or another drug. As of November 2022, recreational marijuana can be used legally in over 20 states in the U.S. and also Washington D.C., while medicinal use is legal in nearly 40 states. Dentists now report that more patients use marijuana reguarily because it is now legal in many states. However, showing up at the dentist high on marijuana can hinder the effectiveness of the appointment. The ADA conducted two surveys of in 2022: 1) a survey of 557 dentists and 2) a survey of 1,006 consumers. The survey of dentists found 56% limit treatment to patients when they are high. Further 46% of dentists in a survey reported needing to increase anesthesia amount to treat patients as a result of the … Read more

Using the sedative Remimazolam for oral surgery

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An interesting article titled “Can Remimazolam Be a New Sedative Option for Outpatients Undergoing Ambulatory Oral and Maxillofacial Surgery?” appears in the Journal of Oral and Maxillofacial Surgery written by Zijian Guo and et. al. (Available online 16 September 2022). The article discusses the sedative remimazolam and its possibility to sedate in oral surgery as effectively as midazolam. In the article the authors discuss how patients can receive dental treatment with more comfort using sedation. Midazolam is widely used in oral and maxillofacial surgery but has side effects of increased accumulation and respiratory depression. Remimazolam has similar pharmacological effects to midazolam but has rapid onset, fast metabolism, less potential adverse effects. Remimazolam has a a mean half-life of between 0.5 and two minutes and a terminal half-life in plasma of 37 to 53 minutes.  The authors conducted the first ever … Read more

Political Campaign Preferences for Oral and Maxillofacial Surgeons in the United States

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An interesting article titled “Political Campaign Contributions of Oral and Maxillofacial Surgeons Between 2013-2022 – A Decade of Data,” written by Jack A. Harris and et. al. (The Journal of Oral and Maxillofacial Surgery, Volume 80, Issue 9, Supplement, September 2022, Pages S43-S44). The article opens by discussing how oral and maxillofacial surgeons in the U.S. tend to donate to Republican-affiliated candidates and campaigns. This is no surpise to those who understand the inner workings of what certain political parties in the U.S. tend to support and is not ideal, see for example the articles Big Media Monopoly and How to Protect Yourself from Abusive Doctors. In the article, the authors set to determine the magnitude and geographic differences in political contributions made by oral and maxillofacial surgeons between 2013 and 2022 with regards to determining the the total number and … Read more

World record set by nine year old’s wisdom tooth extraction

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Recently, a nine year old in Virginia has become the youngest person according to Guinness World Records to have a wisdom tooth extracted. The nine year old boy was 9 years and 327 days old when he had the wisdom tooth extracted. The boy learned that he needed the extraction when his orthondontist in Virginia noticed on a 3D x-ray that he had a wisdom tooth and a molar growing on top of each other. This was in the upper left area of his mouth. The boy said he could not feel the tooth growing but his orthodontist wanted it removed so that the molar could drop in his mouth properly. The boy was referred to an oral surgeon in Virginia. The oral surgeon confirmed wha the orthondotist had said, the wisdom tooth needed to be removed in order to … Read more